FORM 1023-EZ for BRIAN M SHEARE MEMORIAL FUND

Field Data
EIN 47-5624461
Case Number EO-2016235-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRIAN M SHEARE MEMORIAL FUND
Organization’s Mailing Address 1432 MAIN STREET
City BROWNDALE
State PA
ZIP 18421-1264
Accounting period End 12
Primary contact name SEAN SHEARE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN SHEARE
PRESIDENT
1432 MAIN STREET
BROWNDALE PA 18421-1264

Officer/Director/Trustee Two

JOHN WILLIAMS
VICE PRESIDENT
940 MAIN STREET
FOREST CITY PA 18421-0940

Officer/Director/Trustee Three

TARA SHEARE
TREASURER
1432 MAIN STREET
BROWNDALE PA 18421-1264

Officer/Director/Trustee Four

JAQUELINE SHEARE
TRUSTEE
4938 STATE ROUTE 2023
CLIFFORD TOWNSHIP PA 18470-1920

Officer/Director/Trustee Five

EILEEN SAAM
SECRETARY
1193 UPPER MAIN STREET
FOREST CITY PA 18421-1193

Organization’s website
Organization’s email BRIANMSHEAREPOKERRUN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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